Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $76.95 / $171.19	Facility		$48.00	$76.95	$171.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.96 / $142.66 / $179.55	Professional		$121.96	$142.66	$179.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $117.91 / $143.34	Professional		$97.50	$117.91	$143.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $18.60 / $105.00	Facility		$18.60	$18.60	$105.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $24.55 / $102.02	Professional		$18.60	$24.55	$102.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.44 / $129.52 / $195.89	Facility		$46.44	$129.52	$195.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $124.54 / $186.34	Professional		$46.80	$124.54	$186.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.00 / $249.00 / $527.79	Facility		$86.00	$249.00	$527.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.48 / $159.16 / $258.50	Professional		$126.48	$159.16	$258.50
United Facility/Professional Professional Modifier Low / Median / High Price $128.35 / $171.79 / $278.11	Professional		$128.35	$171.79	$278.11